Pioneer Valley Periodontics

Your First Visit

What to Expect

Your general dentist may have detected Periodontal Disease during a routine check-up. To learn the extent of the disease a more in-depth exam will be needed. This exam will be accomplished with Dr. Goldsher or one of his associates.  He will also gather information about your medical and dental history. Once your Periodontal Evaluation is complete, the information will be used to plan the best treatment for you.

Medical History

You may be asked questions about your general health. This can help in diagnosis and treatment planning. For instance, if you have diabetes or are pregnant, you may be more prone to gum disease and personal habits such as smoking can promote periodontal disease. You may also be asked what medications you are taking. This is because certain medications, such as some used for high blood pressure can affect your gum health and some antibiotics used to treat gum infection could make other medication less effective.  Dr. Goldsher may also consult with your physician or appropriate specialists to facilitate the best possible care.

Dental History

Dr. Goldsher needs to know about your previous dental health and treatment. You may be asked questions about when your Periodontal Disease was first diagnosed and whether it’s been treated. You may also be asked how you’ve been caring for your teeth. The planning and outcome of your Periodontal treatment may depend on other factors. These include your motivation, feelings about dental treatment and commitment to home care.

The Dental Exam

Your gums and teeth are examined to learn the extent of your Periodontal Disease. The gums are checked for bleeding, swelling, firmness and abnormal contours. The teeth are checked for movement and sensitivity. Your bite and other factors that can affect your Periodontal Disease are assessed. Full mouth x-rays less than a year old can help the doctor detect breakdown of bone surrounding your teeth. We use digital x-rays to minimize the amount of radiation exposure. Periodontal Probing is done to find out how severe your disease is and to plan your treatment. It involves measuring the depth of the spaces (pockets) around each tooth.